ELIM SENIOR SERVICES LLC


Address: 18787 Carlton Ave, Castro Valley, CA 94546-2905
Phone: 5108850557

ELIM SENIOR SERVICES LLC (NPI# 1386083426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386083426
Entity Type Organization
Organization Name ELIM SENIOR SERVICES LLC
Other Organization Name ELIM ASSISTED LIVING
Practice Address 18787 Carlton Ave
Castro Valley
CA 94546-2905
Practice Telephone 5108850557
Mailing Telephone 8888188101
Enumeration Date 2013-06-21
Last Update Date 2013-06-26
Authorized Official Name MS. ECATERINA TET (LLC MEMBER)
Authorized Official Telephone 9257683031
Authorized Official Credential LVN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 311Z00000X Custodial Care Facility 075600223 CA Nursing & Custodial Care Facilities
N 311Z00000X Custodial Care Facility 075601505 CA Nursing & Custodial Care Facilities
Y 311Z00000X Custodial Care Facility 015601014 CA Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Elim Assisted Living Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467891515 Elim Senior Services LLC Custodial Care Facility 3653 Wren Ave, Concord, CA 94519-1767 2013-06-21
1316386451 Elim Senior Services LLC Custodial Care Facility 5126 Coral Ct, Concord, CA 94521-2315 2013-06-21

Office Location

Street Address 18787 CARLTON AVE
City CASTRO VALLEY
State CA
Zip Code 94546-2905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740825611 Special Request LLC Custodial Care Facility 18787 Carlton Ave, Castro Valley, CA 94546-2905 2019-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861991234 For Your Eyes Only Ophthalmic Medical Corp. Optometrist 2687 Castro Valley Blvd., Castro Valley, CA 94546 2018-02-12
1821536954 Webster Surgery Center, Lp Clinic/Center 20998 Redwood Dr, Castro Valley, CA 94546 2017-02-09
1639506215 Jennifer Lee Pharmacist 20629 Redwood Road, Castro Valley, CA 94546 2013-09-27
1679860506 Lauren Nicole Hill Counselor 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 2011-06-29
1326330952 Jeannette Villalobos Counselor 5248 Crane Avenue, Castro Valley, CA 94546 2011-05-16
1780992560 Cherie Christine-vivona Clark Physician Assistant Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 2010-09-15
1518287218 Rite Aid Incorporation Community/Behavioral Health 3548 Castro Valley Blv, Castro Valley, CA 94546 2010-06-03
1770719940 Kristina Marie Sotto Occupational Therapist 20259 Lake Chabot Road, Castro Valley, CA 94546 2009-06-02
1861664203 Bannanje R Nayak Physical Medicine & Rehabilitation 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 2008-03-26
1205030202 Yvonne Marie Jones Social Worker 2055 Fairmont Dr., San Leandro, CA 94546 2007-06-13
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Taxonomy Information

Taxonomy Code 311Z00000X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility

Taxonomy Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740826163 Special Request LLC Custodial Care Facility 18821 Carlton Ave, Castro Valley, CA 94546-2907 2019-11-20
1740825611 Special Request LLC Custodial Care Facility 18787 Carlton Ave, Castro Valley, CA 94546-2905 2019-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336799170 Sierra Care At The Lake,llc Custodial Care Facility 648 W Sierra Ave, Clovis, CA 93612-0151 2019-09-13
1134784879 Scott Mach Enterprises Custodial Care Facility 23235 Cavanaugh Road, Lake Forest, CA 92630 2019-05-08
1558825133 Calrecup Care, Inc Custodial Care Facility 10510 S Vermont Ave, Los Angeles, CA 90044-3022 2019-01-28
1083185474 Ray Joanne Leyva Custodial Care Facility 15617 Red Oak Way, Victorville, CA 92394-3228 2018-12-10
1760965081 W.p.r. LLC Custodial Care Facility 2733 Country Club Blvd Apt 87, Stockton, CA 95204-3975 2018-09-12
1730674342 Harbor Recuperative Care LLC Custodial Care Facility 11134 Sepulveda Blvd, Mission Hills, CA 91345-1114 2018-06-26
1548778152 Sk Marathon Home Care Custodial Care Facility 7246 Fallbrook Ave, West Hills, CA 91307 2018-01-17
1386176808 Mickey Iliescu Custodial Care Facility 7125 Main Ave, Orangevale, CA 95662-2813 2017-04-03
1013454289 A Caring Heart Residence, Inc. Custodial Care Facility 371 E Millan St, Chula Vista, CA 91910-6313 2017-01-26
1134666456 Silver Soul Chronicles, Inc. Custodial Care Facility 10212 Malinda Ln, Garden Grove, CA 92840-2918 2017-01-24
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Competitor

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City CASTRO VALLEY
Zip Code 94546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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